Risk Adjustment Data Validation Intake Medical Record Review Contractor

Risk Adjustment Data Validation Intake Medical Record Review Contractor

StrategicHealthSolutions, LLC (Strategic) is the Risk Adjustment Data Validation (RADV) Intake Medical Record Review Contractor (IMRRC). Strategic conducts independent medical record reviews to evaluate the accuracy of diagnosis data submitted for Medicare Part C payment by Medicare Advantage (MA) organizations. Strategic also performs data validation by reviewing hospital inpatient, hospital outpatient, and physician medical record documentation to verify diagnoses submitted by MA organizations.

As the RADV IMRRC, Strategic participates in extensive training and medical record intake, collaborates with other contractors, develops educational materials, and supports medical record disputes and appeals as part of the RADV.